William Jacocks Rivers III, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

74337 Issued in GA

Practice address

3225 Shallowford Rd Ste 500
Marietta, GA 30062-7024

Phone

(770) 579-9000

Fax

(888) 844-0784

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Mercer University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Atlanta Inc Home health agency, Atlanta, GA, CCN 117067
• Visiting Nurse Health System, Inc Home health agency, Marietta, GA, CCN 117000
• Marietta Center for Nursing and Healing Nursing home, Marietta, GA, CCN 115206
• Tower Road Post Acute, LLC Nursing home, Marietta, GA, CCN 115115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergy Rehab PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Marietta, GA
  • NPI 1356100606
  Medicare reassignment NPD Authorized official
• William J Rivers III MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1043877269
  Medicare reassignment NPD Authorized official
• Marietta Ga Opco LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1699494104
  NPD (past)
• Tower Road Post Acute LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1316718802
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marietta Ga Opco LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1699494104

  Nursing home

  Care Compare affiliation
• STG Healthcare of Atlanta, Inc.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1952337214
  Care Compare affiliation
• Tower Road Post Acute LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1316718802

  Nursing home

  Care Compare affiliation
• Visiting Nurse Health System, Inc

  • Home Health Agency
  • Marietta, GA
  • NPI 1992766273
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1639468580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "770-579-9000",
            "fax_number": "888-844-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "770-579-9000",
            "fax_number": "888-844-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Tower Rd NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300606947",
            "country_code": "US",
            "telephone_number": "770-422-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Upper Riverdale Rd SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "770-991-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Kennesaw Ave NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601002",
            "country_code": "US",
            "telephone_number": "770-422-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "WILLIAM",
        "middle_name": "JACOCKS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "74337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivermend Health Centers, LLC of Georgia
• Courtney Sharp Rivers, M.A. CCC-SLP
• Quatina Lasha Rivers, AGACNP-BC
• Samara Rivers, DO
• Stephanie Ann Rivers, PA
• Syed Nasser Rizvi, MD
• RNJ Oasis Homecare Services LLC
• Jason Ro
• Stephanie Ro, OD
• Lynn-Mirva Roach

• Physical Medicine & Rehabilitation Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.